Laserfiche WebLink
CITY OF EVERETT DATE • �� 'CQ <br />ELECTRICAL WIRING PERMIT APPLICATION FEE_�j„2,� <br />JOB ADDRESSi2 i NA <br />TENANT <br />PROPERTY OWNER <br />.r <br />ELECTRICAL CONTRACTOR <br />•'1' CONTRACTOR'S ADDRESS <br />LICENSE NO. /-nocjj [�C <br />ADMINISTRATOR da `, <br />• • E.0PrRATION DATE O zi- C iS "9a <br />.. PRONE NO. S' , 8L ,7 R Q 3 ' <br />VALUE OF WORK q OC)C•� (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans for elect--ical work at educational, <br />Institutional or health care facilities be approved by the State of Washington. <br />Applicant.. with such jobs must show the State approved plans before a City <br />of Everett permit will be Issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />1. <br />WORK TO BE DONE: <br />i <br />` l SIGNED: <br />3/27/9U <br />DATE: <br />